Individual
DIANA VIRGINIA CHACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8501 LAURENS LN, SAN ANTONIO, TX 78218-6092
(210) 804-1223
Mailing address
8501 LAURENS LN, SAN ANTONIO, TX 78218-6092
(210) 804-1223
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
208473
TX
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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